Emergency room crowding tied to ACS-induced PTSD

Emergency room crowding tied to ACS-induced PTSD
Exposure to emergency department crowding correlates with acute coronary syndrome-induced posttraumatic stress disorder symptoms one month after ACS, according to a research letter published online Feb. 11 in JAMA Internal Medicine.

(HealthDay)—Exposure to emergency department crowding correlates with acute coronary syndrome (ACS)-induced posttraumatic stress disorder (PTSD) symptoms one month after ACS, according to a research letter published online Feb. 11 in JAMA Internal Medicine.

Donald Edmondson, Ph.D., of the Columbia University Medical Center in New York City, and colleagues assessed the degree of emergency department crowding exposure for 135 patients participating in the Prescription Use, Lifestyle, Stress Evaluation observational cohort study who met the criteria for ACS and were admitted through the emergency department. PTSD was assessed one month after ACS.

The researchers found that, in univariate analysis, increasing tertiles of emergency department crowding correlated with one-month ACS-induced PTSD symptoms. This association persisted after adjustment for multiple demographic variables and previous , Global Registry of Acute Coronary Events score, Charlson comorbidity index, left ventricular ejection fraction of 40 percent or higher, and in-hospital depression score.

"Our results suggest that emergency department crowding may be associated with ACS-induced PTSD symptoms, a risk factor for ACS recurrence and mortality, and a known contributor to poor quality of life, patient satisfaction, and increased medical utilization," the authors write. "Although our results are based on a small sample from a single emergency department, we believe they suggest the need for greater awareness of the influence of medical environments on patients' psychological well-being, while underscoring the need for hospital administrators and policymakers to address emergency department overcrowding."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Ban on ambulance diversions doesn't worsen ER crowding

Jan 03, 2013

(HealthDay)—A 2009 ban on ambulance diversion in Massachusetts did not worsen crowding in emergency departments or ambulance turnaround times, according to research published online Dec. 21 in the Annals of ...

Anergia prevalent in acute coronary syndrome patients

Oct 21, 2012

(HealthDay)—Anergia, or the lack of energy, is highly prevalent in patients with acute coronary syndromes (ACS), and correlates independently with several factors, including bodily pain and exercise participation, according ...

Psychiatric wait times in emergency departments

Nov 12, 2012

Patients with mental illness visiting emergency departments in Ontario have shorter waits to see a doctor during crowded periods and only slightly longer waits during less busy periods, found a study in CMAJ (Canadian Medical A ...

Recommended for you

Understanding psychosis and schizophrenia

1 hour ago

A report published today by the British Psychological Society's Division of Clinical Psychology challenges received wisdom about the nature of mental illness.

"Body recognition" compares with fingerprint ID

Nov 27, 2014

(Medical Xpress)—University of Adelaide forensic anatomy researchers are making advances in the use of "body recognition" for criminal and missing persons cases, to help with identification when a face ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.